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1629101811
PORTIA PETTIGREW
WINSTON SALEM, NC
NPI
1629101811
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NC 5849)
Enumeration Date
2007-03-14
Last Update Date
2007-07-08
Business Address
-- PORTIA PETTIGREW
1240 ARBOR RD
WINSTON SALEM, NC 27104-1106
Phone number: 336-724-7921
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Mailing Address
-- PORTIA PETTIGREW
5140 WILLIAMSBURG RD
WINSTON SALEM, NC 27106-2437
Phone number:
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